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+---
+title: "MTL Session 10 - Facilitator Say Checklist"
+author: "Team PSD"
+date: "Edited 10/7/2019 by LZ"
+output:
+ github_document: default
+ html_document: default
+ pdf_document: default
+ word_document: default
+ ioslides_presentation: default
+ slidy_presentation: default
+ powerpoint_presentation: default
+---
+
+
+
+# [MTL Live Session 10](https://github.com/lzim/mtl/blob/master/session10/s10_learner/mtl_session10_see.md "MTL Live Session 10")
+
+# Today we're modeling to learn how to use systems thinking.
+Hello! I'm __________ and I'm __________ [Co-facilitators introduce themselves].
+
+## Navigate to the SEE guide to show Done and Do
+
_____________ **Time 00:00-00:05**
+- [ ] 
**Done** We ran a third experiment in our individual world.
+
+- [ ] 
**Do** We will run exp 3 and discuss the bc, exp 1, exp 2 and exp 3 using Complex, Feedback, Behavior, Time (CFBT) systems thinking skills. |
+
+## Emphasize team priority with the learning objectives on the screen
+ _____________ **Time 00:05-00:10**
+- [ ] 
+**Learning Objectives for Session 9**
+1. Describe the decisions you experimented with and how they are intertwined with other decisions and clinic outcomes over time.
+2. Test your understanding of the causal system story by describing what’s happening when it produces a system behavior over time.
+3. Apply your thinking to anticipate the short and long term trends in your team's care quality under different decision scenarios.
+
+## Facilitator provides rationale: We've been _Modeling to Learn_ how to improve our use of systems thinking when making care decisions in our team.
+ _____________ **Time 00:10-00:15**
+ - [ ] Show the Systems Thinking Table in the SEE guide.
+
+Systems Thinking | Definition
+-- | --
+Complex | **Forest not trees.** Relationships among two or more **units** (patients, weeks), **variables** (_stocks_: patients waiting to start, _flows_: improvement rate), or two or more **settings** (primary care, general mental health).
+Feedback | **Loop not line.** Not simple cause and effect. The end of the story often influences the beginning, and is strengthened (**reinforcing**) or reduced (**balancing**) around the loop.
+System Behavior | **Movie not snapshot.** Trends over time. Systems _cause_ their own behavior through feedback.
+Time | **Short and long term.** Better understanding of change over time (e.g., worse before better, better before worse, better before a lot better, worse before a lot worse).
+
+## Team lead navigates using Chrome to log in to the Team world at **mtl.how/sim**
+ _____________ **Time 00:10-00:15 - Team's Session 06 Question** __________________
+- [ ] Join current session to pick up where the team left off in Session 09.
+- [ ] On **Main Page** team lead navigate to **Experiment Section** to **pull up previous experiment values & text** to review Experiment 2, and Experiment 1 as compared to the Base Case.
+
+## Pull up **q/h/f/d** from session 09 and ask **team lead** to review the rationale for the relative differences among **Experiment 2,** **Experiment 1,** and the **Base Case** findings from the "Findings" Text
+ _____________ **Time 00:15-00:20** - Team-specific **caual system story for findings** __________________
+_If you did not reset the Team World at the end of Session 9:_
+- [ ] Log in to mtl.how/sim and join the current session, which should be at the end of the **Experiment 2.**
+
+_The advantage of starting **session 10** at the end of the Experiment 2 run in the Team World, is that you can compare the **system behaviors** of Experiment 2 (the current run) against both the Base Case (alternative 1) and Experiment 1 (alternative 2)._
+
+## Review how the causal feedback explains why the simulated **team practice decisions** produce the specific **variables and values** produced in the system behaviors over time.
+ _____________ **Time 00:20-00:25 - Team Priority Causal Loop**__________________
+- [ ] Minimize **Outputs and Text** and move the text to the **Right** to reveal the causal system diagram.
+- [ ] **Refine/edit Experiment 2 text** to capture the causal explanations for the differences between the Base Case, Experiment 1 and Experiment 2 entered for Hypothesis, Findings and Decisions.
+
+## **Paste the Decision Text** in the **Question Box** for Experiment 3.
+ _____________ **Time 00:25-00:30**
+- [ ] Refine the text as necessary to reflect today's learning goal to combine the team decisions reflected in Experiment 1 and 2.
+
+## Use then causal system story in the model diagram to craft a **Dynamic Hypothesis**
+ _____________ **Time 00:30-00:35**
+- [ ] Use the **causal system story** in the **model diagram complexity reveal for the team's priority** that explains the expected system behaviors that will be produced under the combined decisions reflected in Experiment 3.
+- [ ] Example question: "As compared to the Base Case, Experiment 1 and Experiment 2, what happens to ____________ [**key output value from the team's priority**], over the next two years if our team **practice decisions follow __________________[combined experiment 3]**?"
+
+## Move Text to left and refine/enter _specific values_ for experiment 3 in *hypothesis text* as you adjust sliders and run experiment 3
+ _____________ **Time 00:35-00:40 - Team Priority**__________________
+- [ ] **Specific variables and values for combined experiment 3 _______________
+- [ ] Set all other **red** and **green** **experiment sliders** to **"bc" or "zero"** except **purple sensitivity sliders**, which start with a default middle value of **"1"**.
+- [ ] Hit the **Green Run Button**!
+- [ ] Go to the **Expanded Outputs** section and **Save** (without resetting) our run.
+
+## Use Systems Thinking to explain **Combined Experiment 3** as compared to **Base Case** and **Experiments 1 and 2** output charts of the _specific variables_ and _values_ related to the team's highest priority need ________________[output variable]
+ _____________ **Time 00:40-00:50 - Team Priority**__________________
+- [ ] **Results Dashboard** review how the causal feedback explains why the **combined team practice decisions** produce the **relative differences in specific variables and values** produced in the system behaviors over time.
+- [ ] Model for the team, and highlight the C.F.B.T. systems thinking concepts and add explanations in q/h/f/d text boxes.
+- [ ] Dominant causal feedback that produces the system behaviors _______________
+- [ ] Highest leverage (high yield) decisions that are most clinically feasible for the team to implement in their care _______________
+- [ ] **Enter Decisions Text** to reflect **new practice decisions the team would like to consider next** and then click **Save** to save the text edits for Experiment 3.
+
+## Have Team Lead pull up the session 09 SEE guide Done/Do review.
+ _____________ **Time 00:50-00:55**
+- [ ] Done: We ran exp 3 and discussed the results using **C.F.B.T. systems thinking skills.**
+- [ ] Do: Review and compare the bc, exp 1, exp 2 and exp 3 and think about possible new decisions team could make in their daily clinical care. |